TY - JOUR
T1 - Acute rhabdomyolysis and delayed pericardial effusion in an Italian patient with Ebola virus disease
T2 - A case report
AU - Nicastri, Emanuele
AU - Petrosillo, Nicola
AU - Biava, Gianluigi
AU - Ippolito, Giuseppe
AU - Bevilacqua, Nazario
AU - Boumis, Evangelo
AU - Chinello, Pierangelo
AU - Cicalini, Stefania
AU - Corpolongo, Angela
AU - Galati, Vincenzo
AU - Mariano, Andrea
AU - Rosati, Silvia
AU - Taglietti, Fabrizio
AU - Vincenzi, Laura
AU - Antonini, Mario
AU - Caravella, Ilaria
AU - Garotto, Gabriele
AU - Marchioni, Luisa
AU - Maritti, Micaela
AU - Balestra, Pietro
AU - Ricottini, Martina
AU - Rizzi, Elisa Busi
AU - Capobianchi, Maria Rosaria
AU - di Caro, Antonino
AU - Castilletti, Concetta
AU - Bordi, Licia
AU - Lalle, Eleonora
AU - Biava, Mirella
AU - Meschi, Silvia
AU - Lapa, Daniele
AU - Marsella, Patrizia
AU - Colavita, Francesca
AU - Chiappini, Roberta
AU - Mazzarelli, Antonio
AU - Quartu, Serena
AU - Agrati, Chiara
AU - Carletti, Fabrizio
AU - Forbici, Federica
AU - Valli, Maria Beatrice
AU - Abbate, Isabella
AU - Amendola, Alessandra
AU - Garbuglia, Anna Rosa
AU - Paglia, Maria Grazia
AU - Bordi, Eugenio
AU - Lauria, Francesco Nicola
AU - Puro, Vincenzo
AU - Petrecchia, Antonella
AU - Gentile, Marco
AU - Pittalis, Silvia
AU - Martini, Lorena
AU - Fusco, Francesco Maria
AU - Lanini, Simone
AU - Antinori, Andrea
AU - INMI's Ebola Team
PY - 2017/8/30
Y1 - 2017/8/30
N2 - Background: During the 2013-2016 West Africa Ebola virus disease (EVD) epidemic, some EVD patients, mostly health care workers, were evacuated to Europe and the USA. Case presentation: In May 2015, a 37-year old male nurse contracted Ebola virus disease in Sierra Leone. After Ebola virus detection in plasma, he was medically-evacuated to Italy. At admission, rhabdomyolysis was clinically and laboratory-diagnosed and was treated with aggressive hydration, oral favipiravir and intravenous investigational monoclonal antibodies against Ebola virus. The recovery clinical phase was complicated by a febrile thrombocytopenic syndrome with pericardial effusion treated with corticosteroids for 10days and indomethacin for 2months. No evidence of recurrence is reported. Conclusions: A febrile thrombocytopenic syndrome with pericardial effusion during the recovery phase of EVD appears to be uncommon. Clinical improvement with corticosteroid treatment suggests that an immune-mediated mechanism contributed to the pericardial effusion.
AB - Background: During the 2013-2016 West Africa Ebola virus disease (EVD) epidemic, some EVD patients, mostly health care workers, were evacuated to Europe and the USA. Case presentation: In May 2015, a 37-year old male nurse contracted Ebola virus disease in Sierra Leone. After Ebola virus detection in plasma, he was medically-evacuated to Italy. At admission, rhabdomyolysis was clinically and laboratory-diagnosed and was treated with aggressive hydration, oral favipiravir and intravenous investigational monoclonal antibodies against Ebola virus. The recovery clinical phase was complicated by a febrile thrombocytopenic syndrome with pericardial effusion treated with corticosteroids for 10days and indomethacin for 2months. No evidence of recurrence is reported. Conclusions: A febrile thrombocytopenic syndrome with pericardial effusion during the recovery phase of EVD appears to be uncommon. Clinical improvement with corticosteroid treatment suggests that an immune-mediated mechanism contributed to the pericardial effusion.
KW - Ebola Virus Disease
KW - Pericardial effusion
KW - Rhabdomyolysis
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UR - http://www.scopus.com/inward/citedby.url?scp=85028548573&partnerID=8YFLogxK
U2 - 10.1186/s12879-017-2689-x
DO - 10.1186/s12879-017-2689-x
M3 - Article
AN - SCOPUS:85028548573
SN - 1471-2334
VL - 17
JO - BMC Infectious Diseases
JF - BMC Infectious Diseases
IS - 1
M1 - 597
ER -